<!DOCTYPE html>
<html>
	<head>
		<meta charset="utf-8" />
		<title>售水机</title>
		<meta name="keywords"  content="KEYWORDS..." />
		<meta name="description" content="DESCRIPTION..." />
		<meta name="author" content="DeathGhost" />
		<meta name="apple-mobile-web-app-capable" content="yes">
		<meta name='apple-touch-fullscreen' content='yes'>
		<meta name="apple-mobile-web-app-status-bar-style" content="black">
		<meta name="format-detection" content="telephone=no">
		<meta name="format-detection" content="address=no">
		<meta name="viewport" content="initial-scale=1, width=device-width, maximum-scale=1, user-scalable=no">
		<link rel="stylesheet" type="text/css" href="../css/style.css"/>
		<script src="../js/jquery.js" type="text/javascript" charset="utf-8"></script>
	</head>
	<body style="background:#f6f6f6;">
		<div class="content">
			<header class="page-header1">
				<a href="../index.html"><img src="../img/icon_left.png" class="back_img" style="float:left;"/></a>
				<h3>在线发卡</h3>
			</header>
			<div class="hair_card">
				<div class="head_portrait"><img src="../img/send_head.png" style="width:22%;"/></div>
				<div class="head_nickname">售水机主板销售</div>
				<div class="head_icon"><img src="../img/icon_mark.png" style="width:25%;"/></div>
				<div class="head_prompt">发卡信息录入(挂失补卡关键信息）</div>
			</div>
			<div class="hair_card_list">
				<div class="hair_card_lists">
					<div class="hari_div hari_name">姓名</div>
					<div class="hari_input">
						<input type="text" name="hair_card_list_name" value="" placeholder="水卡用户姓名" class="inp_places"/>
					</div>
				</div>
				<div class="hair_card_lists">
					<div class="hari_div hari_phone">电话</div>
					<div class="hari_input">
						<input type="text" name="hair_card_list_phone" value="" placeholder="水卡用户电话" class="inp_places"/>
					</div>
				</div>
				
				<div class="hair_card_lists">
					<div class="hari_div hari_number">净水机编号</div>
					<div class="hari_input">
						<input type="text" name="hair_card_list_id" value="" placeholder="选择使用充值的净水器ID" class="inp_places"/>
					</div>
				</div>
				
				<div class="hair_card_lists">
					<div class="hari_div hari_amount">充值金额(元)</div>
					<div class="hari_input">
						<input type="text" name="hair_card_list_money" value="" placeholder="发卡确认金额，最小1.00元" class="inp_places"/>
					</div>
				</div>
				
				<div class="hair_card_lists">
					<div class="hari_div hari_giving">赠送金额(元)</div>
					<div class="hari_input">
						<input type="text" name="hair_card_list_give_money" value="" placeholder="0.00" class="inp_places"/>
					</div>
				</div>
			</div>
			<div class="hair_btn">
				<button type="button" class="btn_hair_card">提交</button>
			</div>
			<div style="clear:both;"></div>
		</div>
	</body>
</html>
